3,096 research outputs found
A Pacifist’s Point: William Warder Cadbury, His Mission in Canton, and Public Health Initiatives 1909–1937
This paper examines the mission of William Warder Cadbury (1877–1959) to Canton from 1909 to 1937. As a Quaker medical missionary, Cadbury had the freedom to move around Canton and engage himself in the projects that interested him. He used this to engage in a number of public health projects. He had more power to do this inside of Lingnan University than out of it, mapping the limits of private individuals to bring about public health and the way in which Cadbury himself inserted into a debate about the future of Chinese modernity
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The ω-3 fatty acids for Prevention of Post-Operative Atrial Fibrillation trial—rationale and design
Postoperative atrial fibrillation/flutter (PoAF) commonly complicates cardiac surgery, occurring in 25% to 60% of patients. Postoperative atrial fibrillation/flutter is associated with significant morbidity, higher long-term mortality, and increased health care costs. Novel preventive therapies are clearly needed. In experiments and short-term trials, seafood-derived long-chain ω-3 polyunsaturated fatty acids (PUFAs) influence several risk factors that might reduce risk of PoAF. A few small and generally underpowered trials have evaluated effects of ω-3-PUFAs supplementation on PoAF with mixed results. The OPERA trial is an appropriately powered, investigator-initiated, randomized, double-blind, placebo-controlled, multinational trial to determine whether perioperative oral ω-3-PUFAs reduces occurrence of PoAF in patients undergoing cardiac surgery. Additional aims include evaluation of resource use, biologic pathways and mechanisms, postoperative cognitive decline, and safety. Broad inclusion criteria encompass a “real-world” population of outpatients and inpatients scheduled for cardiac surgery. Treatment comprises a total preoperative loading dose of 8 to 10 g of ω-3-PUFAs or placebo divided over 2 to 5 days, followed by 2 g/d until hospital discharge or postoperative day 10, whichever comes first. Based on anticipated 30% event rate in controls, total enrollment of 1,516 patients (758 per treatment arm) will provide 90% power to detect 25% reduction in PoAF. The OPERA trial will provide invaluable evidence to inform biologic pathways; proof of concept that ω-3-PUFAs influence cardiac arrhythmias; and potential regulatory standards and clinical use of this simple, inexpensive, and low-risk intervention to prevent PoAF
Observations of a noctilucent cloud above Logan, Utah (41.7oN, 111.8oW) in 1995
A Rayleigh-scatter lidar has been operated at the Atmospheric Lidar Observatory (ALO) on the Utah State University (USU) campus (41.7°N, 111.8°W) since August 1993. During the morning of 22 June 1995, lidar returns from a noctilucent cloud (NLC) were observed for approximately 1 hr, well away from the twilight periods when NLCs are visible. This detection of an NLC at this latitude shows that the first reported sighting, in 1999 (Wickwar et al., 2002), was not a unique occurrence. This 1995 observation differs from the 1999 one in that temperatures could be deduced. Near the 83-km NLC altitude the temperatures were found to be up to ∼23 K cooler than the 11-year June climatology for ALO. This analysis shows that these cool temperatures arose, not because the whole profile was cooler, but because of a major temperature oscillation or wave with a 22-km vertical wavelength and a ∼0.9 km/hr downward phase speed. This large-amplitude wave has many of the characteristics of the diurnal tide. However, the amplitude would have to be enhanced considerably. These lidar observations were supplemented by OH rotational temperature observations from approximately 87 km. These NLC observations equatorward of 50° have been suggested to be significant harbingers of global change. However, if that were the case, the mechanism is more complicated than a simple overall cooling or an increase in water vapor. Accordingly, we propose enhanced generation of gravity waves that would interact with the diurnal tide to produce a large-amplitude wave, the cold phase of which would give rise to low enough temperatures to produce the NLC. The gravity wave source might be orographic in the Mountain West or convective far to the east or south
US Cosmic Visions: New Ideas in Dark Matter 2017: Community Report
This white paper summarizes the workshop "U.S. Cosmic Visions: New Ideas in
Dark Matter" held at University of Maryland on March 23-25, 2017.Comment: 102 pages + reference
Human Resources and the Resource Based View of the Firm
The resource-based view (RBV) of the firm has influenced the field of strategic human resource management (SHRM) in a number of ways. This paper explores the impact of the RBV on the theoretical and empirical development of SHRM. It explores how the fields of strategy and SHRM are beginning to converge around a number of issues, and proposes a number of implications of this convergence
Dark sectors 2016 Workshop: community report
This report, based on the Dark Sectors workshop at SLAC in April 2016,
summarizes the scientific importance of searches for dark sector dark matter
and forces at masses beneath the weak-scale, the status of this broad
international field, the important milestones motivating future exploration,
and promising experimental opportunities to reach these milestones over the
next 5-10 years
Comparative Genomics Suggests that the Fungal Pathogen Pneumocystis Is an Obligate Parasite Scavenging Amino Acids from Its Host's Lungs
Pneumocystis jirovecii is a fungus causing severe pneumonia in immuno-compromised patients. Progress in understanding its pathogenicity and epidemiology has been hampered by the lack of a long-term in vitro culture method. Obligate parasitism of this pathogen has been suggested on the basis of various features but remains controversial. We analysed the 7.0 Mb draft genome sequence of the closely related species Pneumocystis carinii infecting rats, which is a well established experimental model of the disease. We predicted 8’085 (redundant) peptides and 14.9% of them were mapped onto the KEGG biochemical pathways. The proteome of the closely related yeast Schizosaccharomyces pombe was used as a control for the annotation procedure (4’974 genes, 14.1% mapped). About two thirds of the mapped peptides of each organism (65.7% and 73.2%, respectively) corresponded to crucial enzymes for the basal metabolism and standard cellular processes. However, the proportion of P. carinii genes relative to those of S. pombe was significantly smaller for the “amino acid metabolism” category of pathways than for all other categories taken together (40 versus 114 against 278 versus 427, P<0.002). Importantly, we identified in P. carinii only 2 enzymes specifically dedicated to the synthesis of the 20 standard amino acids. By contrast all the 54 enzymes dedicated to this synthesis reported in the KEGG atlas for S. pombe were detected upon reannotation of S. pombe proteome (2 versus 54 against 278 versus 427, P<0.0001). This finding strongly suggests that species of the genus Pneumocystis are scavenging amino acids from their host's lung environment. Consequently, they would have no form able to live independently from another organism, and these parasites would be obligate in addition to being opportunistic. These findings have implications for the management of patients susceptible to P. jirovecii infection given that the only source of infection would be other humans
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